Hi,
You should try to lower it right now with diet first for 3-4 months. If no effects are seen then you may go on with drugs for this(raised cholesterol).
Your blood pressure is not high otherwise it is just a little raised for your age. As soon as your cholesterol comes down your b.p will also reduce.
If you have chest tightness,it can also be due to allergy(asthma). If you want to go for further test there are many tests but for now probably ECG is enough for you. if that is normal you don ...
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